Care Home: Gwenlyn Guest House

What the care home does well The residents are well cared for, protected and encouraged to be independent within their capabilities and wishes. They are involved in all aspects of their lifestyle, which ensures that their needs continue to be met. The residents have lived as part of the family for over 23 years and clearly see themselves as part of the family unit and the owner as a `mother figure`. One resident spoken to said, "This is my home and family". The owner said, 2They both gave me mothers day cards and presents we are part of one family". Holidays are taken altogether and regular visits to other members of the family who live in the south of England are often taken throughout the year. "We enjoy the family holidays", said one resident spoken to. What has improved since the last inspection? To ensure the residents are kept safe, the owner has had the home rewired, a new fire system installed, electrical and gas appliances checked. We looked at the certificates to evidence these safety checks have been completed. The owner said, "We have had everything checked as recommended". Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 We had a walk around the building and found parts of the home have been redecorated and a new bathroom fitted so the residents live in comfortable homely surroundings. One resident spoken to said, "It`s my home and I love it". What the care home could do better: Whilst there was no concern in relation to the residents` well being and lifestyles, it would be beneficial for the owner to keep up to date with Care Home Regulations through training courses related to running a care home should future residents be admitted. Key inspection report CARE HOME ADULTS 18-65 Gwenlyn Guest House 17 Chesterfield Road Blackpool Lancashire FY1 2PP Lead Inspector Mr Kevan Royston Unannounced Inspection 7th April 2009 09:30 Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gwenlyn Guest House Address 17 Chesterfield Road Blackpool Lancashire FY1 2PP 01253 626342 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Elizabeth Greaves Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 3 Mental disorder, excluding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is: 3 Date of last inspection 3rd April 2007 Brief Description of the Service: Gwenlyn House is a care home for younger adults and is registered to accommodate 3 persons of either sex whom have mental health problems. The home is situated in the North Shore area of Blackpool, within easy reach of local amenities. The residents each have a single bedroom and there are sufficient bathing and toilet facilities to meet their needs. There is a large lounge and dining room in which residents can undertake daily activities of their choice. The home does not have any special equipment or aids as the residents are independent and currently require no assistance with personal care. The home has a Statement of Purpose, which is kept in the lounge for the residents to read if they wish and they each have a copy of the Service User Guide. The residents moved into the home before there was any requirement for the home to be registered and any written information to be given to them, however the documentation they now have confirms their rights, the service provided and the level of care that they can expect to receive if required. Information received at the time of the visit from the homeowner showed that the fees were £284.00 per week. The residents receive their full personal allowance to spend as they, whilst the homeowner pays for all their requirements including, holidays, their choice of clothing and toiletries etc. Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This unannounced visit was part of the key inspection process and took place on the 7th April 2009 and lasted approximately 3.0 hours. We spoke to the two residents who live here and the owner. There are no staff employed. Resident’s care, maintenance and financial records were looked at during the visit and we had a walk around the premises with the owner. As part of the inspection process we talked to the residents, had a look around the rooms examined care records and daily notes this is called case tracking. Every year the person in charge or manager is asked to provide us with written information about the quality of the service they provide, and to make an assessment of the quality of their service. This document is called ‘Annual Quality Assurance Assessment’ (AQAA). We use this information, in part, to focus our inspection activity. What the service does well: What has improved since the last inspection? To ensure the residents are kept safe, the owner has had the home rewired, a new fire system installed, electrical and gas appliances checked. We looked at the certificates to evidence these safety checks have been completed. The owner said, “We have had everything checked as recommended”. Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 Page 6 We had a walk around the building and found parts of the home have been redecorated and a new bathroom fitted so the residents live in comfortable homely surroundings. One resident spoken to said, “It’s my home and I love it”. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 2. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents have lived at the home for over 20 years. There is an assessment procedure in place should the owner wish to accommodate future residents. EVIDENCE: The residents chose to live in the home over 20 years ago, since the home has been registered social work assessments were carried out to ensure there needs could be met. We spoke to the owner who is aware of the assessment procedure if another person chooses to live at Gwenlyn House. We looked at assessment information on one of the residents, which had details for the owner to develop a care plan. We spoke to a resident who said, “I have been here for over 20 years, and was glad Social Services said I could stay here”. Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are helped to make decisions, which support them in their day-today lives, whilst taking risks into account. EVIDENCE: The two residents are part of the family unit and are cared for by the owner and her family. A care plan has been developed for each resident, which they have been involved in and signed to indicate that they agree with the contents. The information covers all parts of their individual needs, risk assessments, physical, mental, emotional, spiritual and social needs. The information is reviewed by the owner and signed by the resident as necessary and each year their care plan is reviewed by their social worker to ensure that the home continues to meet their needs. The information seen confirmed that Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 Page 10 the residents did not currently require any assistance with their personal care needs and this was confirmed through observations throughout the day. Records clearly described the level of support and assistance provided to one resident with his decision-making to ensure his choices are his own. The owner tells us in the AQAA how she sometimes provides guidance and support when needed. One resident said, “She is always there to help me”. Another said, “I go out when I feel like it”. Records examined confirmed risk assessments are completed, reviewed and updated to ensure resident’s independence and living skills are developed. The owner said, “My daughter helps me keeping up to date with records and reviews”. Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: 12,13,15,16 and 17. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Opportunities for development and community participation are good to ensure residents have opportunities for personal development. EVIDENCE: Residents have a range of activities available to them, which included television, music, videos and board games. At the time of the visit a friend had called to see them. The residents continue to live as part of the family unit and call the owner affectionately ‘mum’. They go away on family outings and holidays and later this year will be going to Turkey, one resident spoken to said, “Yes I am looking forward to going on holiday”. Another said, “I have never been on a plane before”. Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 Page 12 Both residents said they were provided with the choice of spending time on their own or in the lounge areas and the owner respected their privacy. The owner said, “We go out for meals together and shopping but they please themselves”. The resident’s respect each others individual space and do not go into each other’s room unless invited. This was confirmed through observations and their permission was asked before we had a walk around the home. As of previous inspections the residents do not have any family links or external friendships and are very much dependent on the homeowner and her family. The annual involvement of a social worker in the review of their individual needs has introduced another person into their lives, providing an overview of their care and current needs. The residents and the owner have their meals together and although none of the residents has any specific dietary needs, their preferences, which have changed over the years, are taken into consideration when meals are being prepared we noticed fresh fruit and vegetables in the kitchen area. The owner said, “We do enjoy going out for meals together”. Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents health care is taken seriously and needs are closely monitored ensuring health issues are met. EVIDENCE: The residents in this home do not currently require any assistance with their personal care needs. They are independent and require only gentle reminders in relation to their personal hygiene. There is evidence in records kept they have good access to specialist healthcare services for the benefit of residents, so that their healthcare needs are met. Looking at the residents’ individual files showed that a record was kept of every time a doctor and other health care professionals saw a resident. Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 Page 14 It was evident talking to the owner and residents this is a family run home with routines flexible and the residents making there own decisions on how to run there lives with support from the owner when required. The residents take daily medication and they collect their own prescriptions from the doctors and chemist and take responsibility for taking their medication. Records are kept of medication and they are locked securely in individual’s rooms. Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The owner ensures that the residents are aware of their rights and have a complaints procedure. EVIDENCE: The home has a detailed complaints procedure, which has been made available to the residents. One residents spoken to said, “I have been here twenty years and never had to complain”. There have been no complaints since the previous inspection. There is a procedure in place for dealing with safeguarding adults so that people know what they should do should an allegation or suspicion of abuse be noted. Through discussion with the owner it was evident every effort is made to protect the residents from abuse, neglect and self-harm. Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents live in a comfortable, homely and safe environment. EVIDENCE: The home is kept clean and tidy by the owner and family and well maintained to ensure the residents live in comfortable surroundings. The building is very much furnished and decorated as a large family home and is domestic in character. One resident spoken to said, “It’s a lovely home”. We had a walk around the home and found they have had a new bathroom installed and are finishing off the decoration. The owner said, “The new bathroom is now fitted”. There is a continual programme of upgrading and refurbishment carried out to ensure that standards remain high and the residents confirmed that they are Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 Page 17 involved in any choices made. There are no aids or adaptations around the home has these are not required at this time to help the residents. Bedrooms are individually decorated and furnished well. All rooms had good lighting and personalised by the residents themselves to make it feel homely. Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Family members provide support for residents so that the outcomes are good for people living at the home EVIDENCE: Immediate family offer support if needed for the owner to ensure the residents receive the care and support to live an independent lifestyle as possible. Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run in the best interests of the residents, EVIDENCE: The owner has provided the residents with a home and the support they require for over 20 years. The owner’s is relaxed so that there is no formality in the day-to-day running of the home. Residents are encouraged to follow their individual daily routines as part of the family and helped by the owner, which we observed throughout the day and was seen to meet the individual needs of the residents. Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 Page 20 The owner showed us evidence that they now have had checks to emergency lighting, fire procedures, electrical appliances and gas appliances carried out ensuring the safety of residents is maintained. The owner spoken to said, “We have had the house re-wired and a new fire system fitted”. Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Version 5.2 Page 22 Gwenlyn Guest House DS0000010016.V374815.R01.S.doc No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Gwenlyn Guest House DS0000010016.V374815.R01.S.doc Version 5.2 Page 23 Care Quality Commission Care Quality Commission Unit 1 Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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